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Home My WebLink About24168-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25091 Date JUNE 19, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 2405 MARRATOOKA RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 1997 pursuant to which Building Permit No. 24168-z dated JUNE 4, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The Occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOSEPHINE A. PIGNATO N/A N/A N/A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥o BUILDING PERJ~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24168 Z Permission is hereby granted to: ~...:~ ........... ~ ....... ~ ...................... ~-.~ . .? ~ ~:~ ~ ~. ~o .. ~~ ........ ~ .................... , ............ ~ ................................ ...~~.....~%&....~.~ ....... ~~ ........ ~ ......... .~~ ....... ~.. ......................................... Z... .................................................................. · ~3 o.2._ 0.6.. County Tax Mop No I000 Section .../.?. ................. Block ...................... Lot No ...................... pursuant to application doted .............. ~ .................., approved / Building Inspector. Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of~property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate .............................. New Construction ........... Old Or Pre-existing Building..~.<-~..~.~.~!'.o~ Location of Property...~.~. 9..~. .............. g..~.%~.z ~.Wel~ ~ .~ ........ .~. ...~ ......... House No. Street Hamlet Onwer or Owners of Property....~.e;.~.~. ~.'.~.~...~...?{ ~..~..~.~? ............................. ... County Tax Map No I000, Section..~.~.~. ........ Block .... .~. .......... Lot..~ ................... Subdivision ............................... ... .. Filed Map ............ Lot ...................... Permit No. ~.~./.¥.~....7~..Date Of Permit..~.l.~.~ 1 ~.~. .... Applicant...~..~v. ~ ~.l.. ?.~.~ ~..~... ....... Health Dept. Approval...~.,..~q% .... ' ............. Underwriters Approval....b~...~ ................ Planning Board Approval..~ ......... Request for: Temporary Certificate ........... Final Certicate...~. ....... Fee Submitted: ¢ ..~-~. ....................... 765-1802 BUILDING DEPT. INSPECTION [ ] FO/UNDATION 1ST [ ] ROUGH PLBG. [ ]/OUNDATION2ND [ ]INSULATION [~/] FRAMING [ ] FINAL [ ] FIREPLAC~&~CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING ~]/FINAL DATE ~~~YlNSP FORH HO. I TOM OF SOUTHOLD BUILDING HRPARTHENT TOWN HALL SOUTHOI~.D, N.Y. 1197 I ']'EL: 765- 1802 BOARD OF UEAI,Tll 3 SETS OF PLANS ............... SURVEY ..~. ..................... c. Ec Lff' .S . ................. SEPTIC FORH ................... NOTIFY: HAIL TO: .................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. ~his application oust be conpl.etely filled in by typewriter or in ink and sahnitted to the Building Inspector with 3 sets of pIsns, accurate plot plan to scale. Fee according to s~edule. b. Plot plan shc~ng location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property ~st be dra~m on the diagram which is part of this Application. sc. abe work covered by this application may oat be ccraneneed before issuance of Building'Permit. d. ~ approval of this application, the Building Inspector will issue a Building Perait to the applicant. Such permit shall be kept an the premises available for inspuetion thronghont the work. e. NO buildlng shall be occupied or used in ~laole or in part for any purpose whatever tmtil a Certificate of Oc~ shall, have l~m granted by the Building Inspector. APPI,IC~Hflq IS I~I].~W/14aJ~ to the Building Department for the issuance of a Building Pemit pttrseaat to the Building Zone Ordinance of the Town of Southold, Skfffolk County, l~e York, nad other applicable I~s, Ordisaoces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ,ordx]nanc~s, building c. ode, ho.u. sing code, and regulations, and to ad,it authorized inspectors an premises and in bmld~ng ~fpr necessary lnspectxans. (Signature of applicant, or nam, if a corparatlon) J?.qs7 (Halting address of applicant) State whether applicant is ~ser, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. -- .. . ~ of o~ner of pr~fises ....... ~. ........... Lt .............................................................. (as on the tax mi1 or latest deed) If applicant is a eorparatign, signatxwe of duly authori~d officer. (~ and'title of co'rate officer) ............. Builders License No ......... .t ............... Ph~bers Licenee lio .......................... Electricians License NO ...................... other Tmde's License No ..................... I. Location of land an which proposed work will be done .............................................................. ..... .................... .............. Donse Nmber Street lla~let I ~tmty Tax ~ NO. lBO0 Section . mock .. ~ ........... Lot Subdivisian ...................................... Filed Map NO ................ LOt ............... (~) 2. State existing use and occupancy of pranlses and intended use and occupancy of proposed canstructlon: a. Existing use aM occupancy ........... .q ...... ~..~.~.../ ............................................... b. Intended use and occupancy ....................................................................... 3. Nnlure el: ~ark (check Mdd~ aplfl!icable): Nc~ Ikdl(ling .......... ~kliti~ .......... Alteration .......... l~qmir ............ I~al .... i ........ I~lition ............ Olher ~rk d.~G~...~.~ ...... i ~ripti~) 5 o~o ~ (loire lm~d ~m f~llng tht~ al~l~cat~) 5. If &rolling, a~fimr of &mlli~qg iunits I ti~lmr of tkmlllng traits ;al ead~ flor : ' 6. IF I~mi~mss, mnmrcial or mi~} ~mqm~y, slmci~ ~mture ual extent of each tylm of uae .................. ' ~.~...O.~... 6o 7. Din~nM~m of ~iat. ing ~tnmturis~ if any: ...... ~ar ............... ~pth ~i~,~ ....... i..~ ............. ~ ~,,~ o~S~ori~ ...t .................. Din~rmi~m cE am~ atnmture ~i~h alterati~m or ~litiona: Front ............... l~ar lhpth .................... Ihi/O~t ..~ .............. ~s~Imr of 8torie~ ............... 8. lii,~nai~m of entire ~ ~.mt~ti~: lh~t ................ I~ar ............... ~pth .............. II. }~m or u~ district in M~id~ p~'mfi~a are 81~mt~l .............................................................. 12. ~m pro~d c~smtnmti~ violate any ~adng h~, o~li~m~m~ er regulation: ~.~ .................... 13. ~ill lot lm regr~ ..~O , ~t,.~,~ ~ (~ ce [,~,i~ . .'~.~. ~ .... ~kl~ ..~o.tm{q~ . . n,=~ ~ ............... 15. Ia this pm~rty ~ithlo ~ f~ of a tidal ~mtla~l? * Ylkq .......... ~ ~ O PI.CT D IAGRA~ l~mate clearly a~ disti~tly a~l I~ildi~a~ ~mttmr existing or propel, a~ i~xlicate all set-link din~naion8 fr~, pro~rty lima. Gi~ stml: a~i bl~k t~flmr or ~aeripti~ acceding to ~, a~ ~ street ~u~ma a~l i~licate · Smtlmr interior or co~r lot. ....... D/ ............... ~L .................... N~ing drily ~Jrn, delxmes mM vmys that he is the applicant (~ of i~[vtd~l signing contract)[ (Cl~ltraeter, ngent~ gorl~rale nffleer, eLe.) nppl teatt(~l; that. all 8tat~mot8 c)nlal~l in this al~l LCaEIOii are tn~ Lo the Imsl. of his k~l~lge m~ I~.J lef~ alXl that the ~)rk ~ill Im I~rfon~l in th6 [~aumr *mt forth in the appl icatien I'il~ tlmr~ifl~. ~)m to Imrere .~ this ' [ ~tary 15~b[ie . . . HELENE D. HORNE Notary Public, State of NewYork NO. 49§'1364 , Qualified in Suffolk Cbunly Comm~s,,Ion Expires t~Aay (Slgun ure ef ^pplieent)